Organization Active NPI

Chippewa Chiropractic Clinic a Professional Corporation

  • Chiropractor
  • Beaver Falls, PA
National Provider Identifier
1376648576
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006255L Issued in PA
Legal business name
CHIPPEWA CHIROPRACTIC CLINIC A PROFESSIONAL CORPORATION
Practice address
2401 Darlington Rd
Beaver Falls, PA 15010-1324
Phone
(724) 843-7255
Fax
(724) 843-2254
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Louis Duane Damico, DC
Title
President
Phone
(724) 843-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006255L PA Primary

Addresses

Primary practice location

2401 Darlington Rd
Beaver Falls, PA 15010-1324

Mailing address

2401 Darlington Rd
Beaver Falls, PA 15010-1324
Phone (724) 843-7255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1376648576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DARLINGTON RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101324",
            "telephone_number": "724-843-7255",
            "fax_number": "724-843-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DARLINGTON RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101324",
            "telephone_number": "724-843-7255",
            "fax_number": "724-843-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA CHIROPRACTIC CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-843-7255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006255L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.